Healthcare Provider Details

I. General information

NPI: 1023437852
Provider Name (Legal Business Name): CPAP HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2014
Last Update Date: 08/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7368 KINGSGATE WAY STE B
WEST CHESTER OH
45069-3367
US

IV. Provider business mailing address

7368 KINGSGATE WAY STE B
WEST CHESTER OH
45069-3367
US

V. Phone/Fax

Practice location:
  • Phone: 513-779-1600
  • Fax: 815-550-1380
Mailing address:
  • Phone: 513-779-1600
  • Fax: 815-550-1380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License Number35081770
License Number StateOH

VIII. Authorized Official

Name: DR. BASHAR BRIJAWI
Title or Position: OWNER
Credential: M.D.
Phone: 513-779-1600